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Anesth Analg 1977; 56:216-218
© 1977 International Anesthesia Research Society
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Fluctuating Intracranial Hypertension Due to Cheyne-Stokes Respiration

M. LOU MARSH, MD*, SYDNEY J. AIDINIS, MB, BS, FFARCS{dagger}, and HARVEY M. SHAPIRO, MD{ddagger}

*Resident in Anesthesia Departments of Anesthesia and Surgery, Neuroanesthesia Group, Division of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104. {dagger} Instructor in Anesthesia Departments of Anesthesia and Surgery, Neuroanesthesia Group, Division of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104. {ddagger}Associate Professor of Anesthesia and Neurosurgery Departments of Anesthesia and Surgery, Neuroanesthesia Group, Division of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104.

Abstract

Cyclically fluctuating intracranial pressure (ICP) with periodic breathing was first described by Nils Lundberg in 1960.1 While Cheyne-Stokes respiration (CSR) frequently accompanies severe cerebrovascular accidents, it is not commonly appreciated that cycles of severe intracranial hypertension can complicate this abnormal ventilation pattern. We recently treated a patient with a hemorrhagic stroke in whom episodes of elevated ICP were synchronously associated with CSR.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.